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• • C—CHEMISTRY; METALLURGY
  • C07—ORGANIC CHEMISTRY
  • C07D—HETEROCYCLIC COMPOUNDS
  • C07D405/00—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom
  • C07D405/02—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings
  • C07D405/06—Heterocyclic compounds containing both one or more hetero rings having oxygen atoms as the only ring hetero atoms, and one or more rings having nitrogen as the only ring hetero atom containing two hetero rings linked by a carbon chain containing only aliphatic carbon atoms
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P13/00—Drugs for disorders of the urinary system
  • A61P13/02—Drugs for disorders of the urinary system of urine or of the urinary tract, e.g. urine acidifiers
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P15/00—Drugs for genital or sexual disorders; Contraceptives
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P43/00—Drugs for specific purposes, not provided for in groups A61P1/00-A61P41/00
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/08—Vasodilators for multiple indications
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/10—Drugs for disorders of the cardiovascular system for treating ischaemic or atherosclerotic diseases, e.g. antianginal drugs, coronary vasodilators, drugs for myocardial infarction, retinopathy, cerebrovascula insufficiency, renal arteriosclerosis
• • A—HUMAN NECESSITIES
  • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
  • A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
  • A61P9/00—Drugs for disorders of the cardiovascular system
  • A61P9/12—Antihypertensives

Definitions

• the present invention relates to novel dihydroisoindole derivatives, pharmaceutical compositions containing these compounds and their use as endothelin receptor antagonists.
• Endothelin is a highly potent vasoconstrictor peptide synthesized and released by the vascular endothelium. Endothelin exists as three isoforms, ET-1, ET-2 and ET-3. Unless otherwise stated "endothelin” shall mean any or all of the isoforms of endothelin!. Endothelin has profound effects on the cardiovascular system, and in particular, the coronary, renal and cerebral circulation. Elevated or abnormal release of endothelin is associated with smooth muscle contraction which is involved in the pathogenesis of cardiovascular, cerebrovascular, respiratory and renal pathophysiology. Elevated levels of endothelin have been reported in plasma from patients with essential hypertension, acute myocardial infarction, subarachnoid hemorrhage, atherosclerosis, and patients with uraemia undergoing dialysis.
• endothelin has pronounced effects on blood pressure and cardiac output.
• An intravenous bolus injection of ET (0.1 to 3 nmol/kg) in rats causes a transient, dose-related depressor response (lasting 0.5 to 2 minutes) followed by a sustained, dose-dependent rise in arterial blood pressure which can remain elevated for 2 to 3 hours following dosing. Doses above 3 nmol/kg in a rat often prove fatal.
• Endothelin appears to produce a preferential effect in the renal vascular bed. It produces a marked, long-lasting decrease in renal blood flow, accompanied by a significant decrease in GFR, urine volume, urinary sodium and potassium excretion. Endothelin produces a sustained antinatriuretic effect, despite significant elevations in atrial natriuretic peptide. Endothelin also stimulates plasma renin activity.
• ET may be an important mediator of cerebral vasospasm, a frequent and often fatal consequence of subarachnoid hemorrhage.
• ET also exhibits direct central nervous system effects such as severe apnea and ischemic lesions which suggests that ET may contribute to the development of cerebral infarcts and neuronal death.
• ET has also been implicated in myocardial ischemia (Nichols et al. Br. J. Pharm. 99:597-601, 1989 and Clozel and Clozel, Circ. Res., 65:1193-1200, 1989) coronary vasospasm (Fukuda et al., Eur. J. Pharm. 165:301-304, 1989 and Luscher, Circ. 83:701, 1991) heart failure, proliferation of vascular smooth muscle cells, (Takagi, Biochem & Biophys. Res. Commun.; 168:537-543, 1990, Bobek et al., Am. J. Physiol.
• endothelin has been found to be a potent constrictor of isolated mammalian airway tissue including human bronchus (Uchida et al., Eur J. of Pharm. 154:227-228 1988, LaGente, Clin. Exp. Allergy 20:343-348, 1990; and Springall et al., Lancet, 337:697-701, 1991).
• Endothelin may play a role in the pathogenesis of interstitial pulmonary fibrosis and associated pulmonary hypertension, Giard et al., Third International Conference on Endothelin, 1993, p. 34 and ARDS (Adult Respiratory Distress Syndrome), Sanai et al., Supra, p. 112.
• Endothelin has been associated with the induction of hemorrhagic and necrotic damage in the gastric mucosa (Whittle et al., Br. J. Pharm. 95:1011-1013, 1988); Raynaud's phenomenon, Cinniniello et al., Lancet 337:114-115, 1991); Crohn's Disease and ulcerative colitis, Munch et al., Lancet, Vol. 339, p. 381; Migraine (Edmeads, Headache, Feb. 1991 p 127); Sepsis (Weitzberg et al., Circ. Shock 33:222-227, 1991; Pittet et al., Ann. Surg.
• Endothelin stimulates both bone resorption and anabolism and may have a role in the coupling of bone remodeling. Tatrai et al. Endocrinology, Vol. 131, p. 603-607.
• Endothelin has been reported to stimulate the transport of sperm in the uterine cavity, Casey et al., J. Clin. Endo and Metabolism, Vol. 74, No. 1, p. 223-225, therefore endothelin antagonists may be useful as male contraceptives.
• Endothelin modulates the ovarian/menstrual cycle, Kenegsberg, J. of Clin. Endo. and Met., Vol. 74, No. 1, p. 12, and may also play a role in the regulation of penile vascular tone in man, Lau et al., Asia Pacific J. of Pharm., 1991, 6:287-292 and Tejada et al., J. Amer. Physio. Soc. 1991, H1078-H1085. Endothelin also mediates a potent contraction of human prostatic smooth muscle, Langenstroer et al., J. Urology, Vol. 149, p. 495-499.
• endothelin receptor antagonists would offer a unique approach toward the pharmacotherapy of hypertension, pulmonary, hypertension, renal failure, ischemia induced renal failure, sepsis-endotoxin induced renal failure, prophylaxis and/or treatment of radio-contrast induced renal failure, acute and chronic cyclosporin induced renal failure, cerebrovascular disease, myocardial ischemia, angina, heart failure, asthma, atherosclerosis, macular degeneration, Raynaud's phenomenon, ulcers, sepsis, migraine, glaucoma, endotoxin shock, endotoxin induced multiple organ failure or disseminated intravascular coagulation, cyclosporin-induced renal failure and as an adjunct in angioplasty for prevention of restenosis, diabetes, preclampsia of pregnancy, bone remodeling, kidney transplant, male contraceptives, infertility and priaprism and benign prostatic hypertrophy.
• This invention comprises dihydroisoindole derivatives represented by Formula (I) and pharmaceutical compositions containing these compounds, and their use as endothelin receptor antagonists which are useful in the treatment of a variety of cardiovascular and renal diseases including but not limited to: hypertension, acute and chronic renal failure, cyclosporine induced nephrotoxicity, stroke, cerebrovascular vasospasm, myocardial ischemia, angina, heart failure and atherosclerosis, and as an adjunct in angioplasty for prevention of restenosis and for benign prostatic hypertrophy.
• cardiovascular and renal diseases including but not limited to: hypertension, acute and chronic renal failure, cyclosporine induced nephrotoxicity, stroke, cerebrovascular vasospasm, myocardial ischemia, angina, heart failure and atherosclerosis, and as an adjunct in angioplasty for prevention of restenosis and for benign prostatic hypertrophy.
• This invention further constitutes a method for antagonizing endothelin receptors in an animal, including humans, which comprises administering to an animal in need thereof an effective amount of a compound of Formula (I).
• R 1 is --X(CH 2 ) n Ar or --X(CH 2 ) n R 8 or
• R 2 is hydrogen, Ar or C 1-4 alkyl
• P 1 is tetrazole, SO 2 NR 7 R 11 , CONR 7 SO 2 R 11 , or (CH 2 ) s R 8 ;
• R 3 and R 5 are independently hydrogen, R 11 , OH, C 1-8 alkoxy, S(O) q R 11 , N(R 6 ) 2 , Br, F, I, Cl, CF 3 , NHCOR 6 , R 11 CO 2 R 7 , --X--R 9 --Y, or --X(CH 2 ) n R 8 wherein each methylene group within --X(CH 2 ) n R 8 may be unsubstituted or substituted by one or two --(CH 2 ) n Ar groups;
• R 4 is hydrogen, R 11 , OH, C 1-5 alkoxy, S(O) q R 11 , N(R 6 ) 2 , --X(R 11 ), Br, F, I, Cl or NHCOR 6 wherein the C 1-5 alkoxy may be unsubstituted or substituted by OH, methoxy or halogen;
• R 6 is independently hydrogen or C 1-4 alkyl
• R 7 is independently hydrogen, C 1-10 alkyl, C 2-10 alkenyl or C 2-8 alkynyl, all of which may be unsubstituted or substituted by one or more OH, N(R 6 ) 2 , CO 2 R 12 , halogen or XC 1-5 alkyl; or R 7 is (CH 2 ) n Ar;
• R 8 is hydrogen, R 11 , CO 2 R 7 , CO 2 C(R 11 ) 2 O(CO)XR 7 , PO 3 (R 7 ) 2 , SO 2 NR 7 R 11 , NR 7 SO 2 R 11 ,CONR 7 SO 2 R 11 , SO 3 R 7 , SO 2 R 7 , P(O)(OR 7 )R 7 , CN, --CO 2 (CH 2 ) m C(O)N(R 6 ) 2 , C(R 11 ) 2 N(R 7 ) 2 , C(O)N(R 6 ) 2 or tetrazole;
• R 9 is (CH 2 ) n , C 1-10 alkylene, C 2-10 alkenylene or phenylenyl, all of which may be unsubstituted or substituted by one or more OH, N(R 6 ) 2 , COOH, halogen, or R 9 may be >C ⁇ O or XC 1-5 alkyl;
• R 11 is hydrogen, Ar, C 1-8 alkylene, C 2-8 alkenylene, C 2-8 -alkynylene, all of which may be unsubstituted or substituted by one or more OH, CH 2 OH, N(R 6 ) 2 or halogen;
• R 12 is hydrogen, C 1-6 alkyl, C 2-6 alkenyl or C 2-7 alkynyl;
• X is (CH 2 ) n , O or NR 6 ;
• Y is CH 3 or X(CH 2 ) n Ar
• A is C ⁇ O, or C(R 6 ) 2 ! m ;
• B is --CH 2 -- or--O--;
• Z 1 and Z 2 are independently hydrogen, C 1-8 alkyl, C 2-8 alkenyl, C 2-8 alkynyl, OH, C 1-8 alkoxy, S(O) q C 1-8 alkyl, N(R 6 ) 2 , Br, F, I, Cl, NHCOR 6 , --X--R 9 --Y, --X(CH 2 ) n R 8 , phenyl, benzyl or C 3-6 cycloalkyl wherein the C 1-8 alkyl, C 2-8 alkenyl or C 2-8 alkynyl may be optionally substituted by COOH, OH, CO(CH 2 ) n CH 3 , CO(CH 2 ) n CH 2 N(R 6 ) 2 , or halogen; or Z 1 and Z 2 together may be --O--A--O-- on contiguous carbons;
• Z 3 is Z 1 or --X--R 9 --Y;
• q is zero, one or two
• n is an integer from 0 to six;
• s is an integer from one to six;
• n 1, 2 or 3; and the dotted line indicates the optional presence of a double bond; provided P 1 is not (CH 2 ) s NH 2 ;
• alkyl, alkenyl, alkynyl and alkoxy groups may be straight or branched.
• halogen is used to mean iodo, fluoro, chloro or bromo.
• Alkyl groups may be substituted by one or more halogens up to perhalogenation.
• the compounds of the present invention may contain one or more asymmetric carbon atoms and may exist in racemic and optically active form. All of these compounds and diastereoisomers are contemplated to be within the scope of the present invention.
• the present invention provides compounds of formula (I) above, ##STR3## which can be prepared by reacting a suitably substituted orthobromobenzoic acid such as (2) ##STR4## with two equivalents of n-Butyllithium in a solvent such as THF under argon at -78° C. followed by the addition of an acid chloride of formula (3) ##STR5## wherein Z 1 , Z 2 and Z 3 are as defined in formula I, in a suitable solvent such as THF to provide a compound of formula (4) ##STR6##
• Compounds of formula (11) may be convened to those of formula (I) by acylation or alkylation of Q to P 1 as appropriate.
• Compounds of Formula (I) and their pharmaceutically acceptable salts may be administered in a standard manner for the treatment of the indicated diseases, for example orally, parenterally, sub-lingually, transdermally, rectally, via inhalation or via buccal administration.
• a syrup formulation will generally consist of a suspension or solution of the compound or salt in a liquid carrier for example, ethanol, peanut oil, olive oil, glycerine or water with a flavouring or colouring agent.
• a liquid carrier for example, ethanol, peanut oil, olive oil, glycerine or water with a flavouring or colouring agent.
• any pharmaceutical carrier routinely used for preparing solid formulations may be used. Examples of such carriers include magnesium stearate, terra alba, talc, gelatin, agar, pectin, acacia, stearic acid, starch, lactose and sucrose.
• composition is in the form of a capsule
• any routine encapsulation is suitable, for example using the aforementioned carriers in a hard gelatin capsule shell.
• composition is in the form of a soft gelatin shell capsule
• any pharmaceutical carrier routinely used for preparing dispersions or suspensions may be considered, for example aqueous gums, celluloses, silicates or oils and are incorporated in a soft gelatin capsule shell.
• Typical parenteral compositions consist of a solution or suspension of the compound or salt in a sterile aqueous or non-aqueous carrier optionally containing a parenterally acceptable oil, for example polyethylene glycol, polyvinylpyrrolidone, lecithin, arachis oil, or sesame oil.
• a parenterally acceptable oil for example polyethylene glycol, polyvinylpyrrolidone, lecithin, arachis oil, or sesame oil.
• compositions for inhalation are in the form of a solution, suspension or emulsion that may be administered as a dry powder or in the form of an aerosol using a conventional propellant such as dichlorodifluoromethane or trichlorofluoromethane.
• a typical suppository formulation comprises a compound of Formula (1a-1d) or a pharmaceutically acceptable salt thereof which is active when administered in this way, with a binding and/or lubricating agent, for example polymeric glycols, gelatins, cocoa-butter or other low melting vegetable waxes or fats or their synthetic analogues.
• a binding and/or lubricating agent for example polymeric glycols, gelatins, cocoa-butter or other low melting vegetable waxes or fats or their synthetic analogues.
• Typical transdermal formulations comprise a conventional aqueous or nonaqueous vehicle, for example a cream, ointment, lotion or paste or are in the form of a medicated plaster, patch or membrane.
• the composition is in unit dosage form, for example a tablet, capsule or metered aerosol dose, so that the patient may administer to themselves a single dose.
• Each dosage unit for oral administration contains suitably from 0.1 mg to 500 mg/Kg, and preferably from 1 mg to 100 mg/Kg, and each dosage unit for parenteral administration contains suitably from 0.1 mg to 100 mg, of a compound of Formula (I) or a pharmaceutically acceptable salt thereof calculated as the free acid.
• Each dosage unit for intranasal administration contains suitably 1-400 mg and preferably 10 to 200 mg per person.
• a topical formulation contains suitably 0.01 to 1.0% of a compound of Formula (I).
• the daily dosage regimen for oral administration is suitably about 0.01 mg/Kg to 40 mg/Kg, of a compound of Formula (I) or a pharmaceutically acceptable salt thereof calculated as the free acid.
• the daily dosage regimen for parenteral administration is suitably about 0.001 mg/Kg to 40 mg/Kg, of a compound of the Formula (I) or a pharmaceutically acceptable salt thereof calculated as the free acid.
• the daily dosage regimen for intranasal administration and oral inhalation is suitably about 10 to about 500 mg/person.
• the active ingredient may be administered from 1 to 6 times a day, sufficient to exhibit the desired activity.
• Rat cerebellum or kidney cortex were rapidly dissected and frozen immediately in liquid nitrogen or used fresh.
• the tissues 1-2 g for cerebellum or 3-5 g for kidney cortex, were homogenized in 15 mls of buffer containing 20 mM Tris HCl and 5 mM EDTA, pH 7.5 at 4° C. using a motor-driven homogenizer.
• the homogenates were filtered through cheesecloth and centrifuged at 20,000 x g for 10 minutes at 4° C. The supernatant was removed and centrifuged at 40,000 xg for 30 minutes at 4° C.
• the resulting pellet was resuspended in a small volume of buffer containing 50 mM Tris, 10 mM MgCl 2 , pH 7.5; aliquotted with small vials and frozen in liquid nitrogen.
• the membranes were diluted to give 1 and 5 micrograms of protein for each tube for cerebellum and kidney cortex in the binding assay.
• Freshly isolated rat mesenteric artery and collateral vascular bed were washed in ice cold saline (on ice) and lymph nodes were removed from along the major vessel. Then, the tissue was homogenized using a polytron in buffer containing 20 mM Tris and 5 mM EDTA, pH 7.5 at 4° C. in 15 ml volume for ⁇ 6 gm of mesenteric artery bed. The homogenate was strained through cheesecloth and centrifuged at 2,000 xg for 10 min. at 4° C. The supernatant was removed and centrifuged at 40,000 xg for 30 min. at 4° C. The resulting pellet was resuspended as explained above for cerebellum and kidney cortex. Approximately 10 micrograms of membrane protein was used for each tube in binding experiments.
• CHO cells stably transfected with human ET A and ET B receptors were grown in 245 mmx 245 mm tissue culture plates in Dulbecco's modified Eagle's medium (DMEM) supplemented with 10% fetal bovine serum (FBS).
• DMEM Dulbecco's modified Eagle's medium
• FBS fetal bovine serum
• the confluent cells were washed with DPBS (Dulbecco's phosphate buffered saline) containing protease inhibitor cockatil (5 mM EDTA, 0.5 mM PMSF, 5 ug/ml leupeptin, and 0.1 U/ml aprotinin) and scraped in the same buffer.
• DPBS Dulbecco's phosphate buffered saline
• protease inhibitor cockatil 5 mM EDTA, 0.5 mM PMSF, 5 ug/ml leupeptin, and 0.1 U/
• the cells were lysed by freezing in liquid nitrogen and thawing on ice followed by homogenization (30 times using glass dounce homogenizer) in lysis buffer containing 20 mM Tris HCl, pH 7.5 and the protease inhibitor cocktail. After an initital centrifugation at 800 xg for 10 min to remove unbroken cells and nuclei, the supernatants were centrifuged at 40,000 xg for 15 min and the pellet was resuspended in 50 mM Tris HCl, pH 7.5 and 10 mM MgCl 2 and stored in small aliquots at -70° C. after freezing in liquid N 2 . Protein was determined using BCA method and bovine serum albumin as the standard.
• 125 I!ET-1 binding to membranes from rat cerebellum (2-5 mg protein/assay tube) or kidney cortex (3-8 micrograms protein/assay tube) or CHO cell membranes (containing 4-6 and 1-2 micrograms of membrane protein for ET A and ET B receptors, respectively) were measured after 60 minutes incubation at 30° C. in 50 mM Tris HCl, 10 mM MgCl 2 , 0.05% BSA, pH 7.5 buffer in a total volume of 100 microliters.
• Membrane protein was added to tubes containing either buffer or indicated concentration of compounds.
• 125 I!ET-1 (2200 Ci/mmol) was diluted in the same buffer containing BSA to give a final concentration of 0.2-0.5 nM ET-1.
• Rat aorta are cleaned of connective tissue and adherent fat, and cut into ring segments approximately 3 to 4 mm in length.
• Vascular rings are suspended in organ bath chambers (10 ml) containing Krebs-bicarbonate solution of the following composition (millimolar): NaCl, 112.0; KCl, 4.7; KH 2 PO 4 , 1.2; MgSO 4 , 1.2; CaCl 2 , 2.5; NaHCO 3 , 25.0; and dextrose, 11.0.
• Tissue bath solutions are maintained at 37° C. and aerated continuously with 95% O 2 /5% CO 2 .
• ET-1 induced vascular contractions are expressed as a percentage of the response elicited by 60 mM KCl for each individual tissue which is determined at the beginning of each experiment. Data are expressed as the mean ⁇ S.E.M. Dissociation constants (K b ) of competitive antagonists were determined by the standard method of Arunlakshana and Schild. The potency range for compounds of this invention range from 0.1 nM to 50 mm.
• Formulations for pharmaceutical use incorporating compounds of the present invention can be prepared in various forms and with numerous excipients. Examples of such formulations are given below.
• a compound of formula I (1 mg to 100 mg) is aerosolized from a metered dose inhaler to deliver the desired amount of drug per use.
• Step 1 Blend ingredients No. 1, No. 2, No. 3 and No. 4 in a suitable mixer/blender.
• Step 2 Add sufficient water portion-wise to the blend from Step 1 with careful mixing after each addition. Such additions of water and mixing until the mass is of a consistency to permit its converion to wet granules.
• Step 3 The wet mass is converted to granules by passing it through an oscillating granulator using a No. 8 mesh (2.38 mm) screen.
• Step 4 The wet granules are then dried in an oven at 140° F. (60° C.) until dry.
• Step 5 The dry granules are lubricated with ingredient No. 5.
• Step 6 The lubricated granules are compressed on a suitable tablet press.
• a pharmaceutical composition for parenteral administration is prepared by dissolving an appropriate amount of a compound of formula I in polyethylene glycol with heating. This solution is then diluted with water for injections Ph Eur. (to 100 ml). The solution is then steriled by filtration through a 0.22 micron membrane filter and sealed in sterile containers.

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• 1995
  • 1995-06-06 JP JP8502309A patent/JPH10501812A/ja active Pending
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